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dc.contributor.authorYilmaz, Kerem Can
dc.contributor.authorAkgun, Arzu Neslihan
dc.contributor.authorCiftci, Orcun
dc.contributor.authorMuderrisoglu, Haldun
dc.contributor.authorSezer, Siren
dc.contributor.authorMoray, Gokhan
dc.contributor.authorHaberal, Mehmet
dc.date.accessioned2020-07-17T11:45:32Z
dc.date.available2020-07-17T11:45:32Z
dc.date.issued2019
dc.identifier.issn1304-0855en_US
dc.identifier.urihttp://hdl.handle.net/11727/4782
dc.description.abstractObjectives: Cardiovascular disease is the major cause of morbidity and mortality in patients on renal replacement therapy and in kidney transplant recipients. There are no specific recommendations for preoperative cardiac risk assessment before renal transplant. The aim of our study was to analyze preoperative cardiac test frequencies, test results, patient characteristics, and relations between cardiac stress test results and severe coronary artery disease. Materials and Methods: We retrospectively examined patients who underwent renal transplant between December 2011 and December 2016 in our hospital (Ankara, Turkey). Our study group included 216 patients. All patients had preoperative echocardiography. We recorded results of exercise stress tests, myocardial perfusion scintigraphy, and coronary angiography. For all patients, preoperative complete blood cell count, creatinine, high-density lipoprotein, triglycerides, low-density lipoprotein, and red cell distribution width values were obtained and recorded. Results: We classified patient groups according to presence or absence of severe coronary artery disease. Fourteen of 66 patients had severe coronary artery disease. In univariate analyses, age, having a history of familial coronary artery disease, diabetes mellitus, presence of coronary artery disease, and triglyceride levels were risk factors for severe coronary artery disease. In multivariate analysis, diabetes mellitus, presence of coronary artery disease, and having a history of familial coronary artery disease were statistically significant. Conclusions: Renal transplant recipients are a special patient population, and there must be specific suggestions for this population. If patients present with more than 1 risk factor, a stress test should be performed to evaluate cardiovascular risk. In some patients, especially those whose risk factors include prior cardiovascular disease or diabetes mellitus, stress tests should be skipped and patients should directly undergo coronary angiography to look for severe coronary artery disease.en_US
dc.language.isoengen_US
dc.relation.isversionof10.6002/ect.2017.0145en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCoronary artery diseaseen_US
dc.subjectKidney transplantationen_US
dc.subjectStress testen_US
dc.titlePreoperative Cardiac Risk Assessment in Renal Transplant Recipients: A Single-Center Experienceen_US
dc.typearticleen_US
dc.relation.journalEXPERIMENTAL AND CLINICAL TRANSPLANTATIONen_US
dc.identifier.volume17en_US
dc.identifier.issue4en_US
dc.identifier.startpage478en_US
dc.identifier.endpage482en_US
dc.identifier.wos000504883400007en_US
dc.identifier.scopus2-s2.0-85071181174en_US
dc.contributor.pubmedID29025386en_US
dc.contributor.orcID0000-0002-9635-6313en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.contributor.researcherIDAAG-8233-2020en_US


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